Ascension St. Vincent Mercy (St. Vincent Madison County Health System, Inc.)
1331 S A St St, Elwood, IN · Ascension · · NPI 1477508596
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Mayo fbl culture fungi blood CPT 87103 | $235.20 | $392.00 | $4.62 – $46.65 | 24 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $2.65 – $183.45 | 24 |
| Mayo ffspg allergen clam igg CPT 86001 | $109.80 | $183.00 | $2.47 – $17.83 | 24 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $3.97 – $32.97 | 24 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $271.80 | $453.00 | $7.24 – $49.41 | 22 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $504.00 | $840.00 | $0.01 – $756.00 | 18 |
| Mayo hemosiderin qualitative urine CPT 83070 | $88.80 | $148.00 | $2.15 – $10.83 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $420.00 | $700.00 | $16.60 – $80.01 | 24 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | not published | not published | $17.13 – $80.01 | 24 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $216.60 | $361.00 | $3.97 – $31.44 | 24 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $358.80 | $598.00 | $12.74 – $58.85 | 24 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $225.60 | $376.00 | $2.65 – $20.27 | 24 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $163.80 | $273.00 | $5.29 – $30.83 | 24 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $208.20 | $347.00 | $12.85 – $61.95 | 24 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $288.60 | $481.00 | $3.97 – $39.38 | 24 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $44.40 | $74.00 | $6.61 – $34.18 | 24 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $330.60 | $551.00 | $10.26 – $47.45 | 24 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $321.60 | $536.00 | $6.61 – $47.45 | 24 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $129.00 | $215.00 | $5.67 – $36.64 | 24 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $251.40 | $419.00 | $5.92 – $27.31 | 22 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $263.40 | $439.00 | $17.33 – $80.01 | 22 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | not published | not published | $14.04 – $80.01 | 22 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | not published | not published | $17.13 – $80.01 | 24 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $621.00 | $1,035.00 | $17.13 – $97.68 | 24 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $28.88 – $164.59 | 15 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $15.43 – $87.94 | 22 |
| Mayo inhab inhibin a CPT 86336 | $187.80 | $313.00 | $7.70 – $35.55 | 24 |
| Mayo insft insulin free CPT 83527 | $106.80 | $178.00 | $6.39 – $29.53 | 24 |
| Mayo insulin antibodies CPT 86337 | $235.80 | $393.00 | $10.57 – $48.81 | 24 |
| Mayo iodine CPT 83789 | $313.80 | $523.00 | $8.31 – $54.97 | 24 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $10.84 – $61.81 | 21 |
| Mayo lacosamide therapeutic drug level CPT 80235 | not published | not published | $10.84 – $61.81 | 22 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $294.60 | $491.00 | $6.54 – $30.21 | 22 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $265.80 | $443.00 | $3.97 – $29.16 | 24 |
| Mayo legionella antibody CPT 86713 | $232.80 | $388.00 | $5.29 – $34.88 | 24 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $5.29 – $36.94 | 24 |
| Mayo lipoprotein electrophoresis CPT 83700 | $121.80 | $203.00 | $5.55 – $25.67 | 22 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $327.60 | $546.00 | $6.61 – $35.32 | 24 |
| Mayo manganese CPT 83785 | $208.20 | $347.00 | $10.58 – $60.76 | 24 |
| Mayo metanephrines plasma CPT 83835 | $390.60 | $651.00 | $7.93 – $38.62 | 24 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $5.18 – $51.87 | 15 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $40.80 | $68.00 | $12.05 – $46.00 | 19 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $225.60 | $376.00 | $6.61 – $33.17 | 24 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $294.60 | $491.00 | $5.44 – $42.50 | 24 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $532.80 | $888.00 | $50.00 – $312.36 | 15 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $333.60 | $556.00 | $74.08 – $422.26 | 15 |
| Mayo muramidase CPT 85549 | $324.60 | $541.00 | $8.87 – $42.75 | 24 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $294.60 | $491.00 | $8.91 – $41.15 | 22 |
| Mayo myoglobin CPT 83874 | $297.00 | $495.00 | $5.29 – $29.46 | 24 |
| Mayo nickel CPT 83885 | not published | not published | $9.26 – $55.88 | 24 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $6.77 – $51.87 | 15 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $5.47 – $51.87 | 15 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $5.62 – $51.87 | 15 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $508.80 | $848.00 | $7.79 – $48.36 | 24 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $7.59 – $37.51 | 24 |
| Mayo oxalate 24 hour urine CPT 83945 | $151.80 | $253.00 | $6.09 – $32.95 | 24 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $394.80 | $658.00 | $5.70 – $26.29 | 24 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $200.40 | $334.00 | $5.29 – $34.27 | 24 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $283.80 | $473.00 | $0.61 – $27.47 | 24 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $530.40 | $884.00 | $16.60 – $80.01 | 24 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $34.80 | $58.00 | $7.78 – $40.99 | 22 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $276.00 | $460.00 | $6.61 – $31.37 | 24 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $138.60 | $231.00 | $3.97 – $19.24 | 24 |
| Mayo pregnenolone CPT 84140 | $187.80 | $313.00 | $5.29 – $47.13 | 24 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $233.40 | $389.00 | $6.61 – $37.83 | 24 |
| Mayo proinsulin CPT 84206 | $259.80 | $433.00 | $6.61 – $60.85 | 24 |
| Mayo psaft prostate specific antigen free CPT 84154 | $216.60 | $361.00 | $8.70 – $41.93 | 24 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $403.20 | $672.00 | $5.29 – $41.95 | 24 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $249.00 | $415.00 | $5.44 – $30.46 | 24 |
| Mayo receptor assay transferrin soluble CPT 84238 | $467.40 | $779.00 | $18.06 – $83.38 | 24 |
| Mayo renin CPT 84244 | $423.60 | $706.00 | $8.21 – $50.14 | 24 |
| Mayo repu protein electrophoresis urine CPT 84166 | $198.60 | $331.00 | $2.04 – $40.65 | 24 |
| Mayo selenium CPT 84255 | $153.00 | $255.00 | $10.58 – $58.21 | 24 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $7.58 – $35.34 | 15 |
| Mayo serotonin CPT 84260 | $708.00 | $1,180.00 | $10.58 – $70.63 | 24 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $173.40 | $289.00 | $9.54 – $44.12 | 24 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $330.00 | $550.00 | $6.78 – $31.30 | 22 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $106.80 | $178.00 | $1.32 – $9.74 | 24 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $103.17 – $476.34 | 15 |
| Mayo tgrp testosterone free CPT 84402 | $339.60 | $566.00 | $12.04 – $58.07 | 24 |
| Mayo tgrp testosterone total CPT 84403 | $361.80 | $603.00 | $9.64 – $58.85 | 24 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $8.87 – $8.87 | 11 |
| Mayo thyroglobulin CPT 84432 | $271.80 | $453.00 | $5.29 – $36.62 | 24 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $227.40 | $379.00 | $4.81 – $23.21 | 22 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $139.80 | $233.00 | $3.97 – $28.25 | 24 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $4.90 – $51.87 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $21.68 – $116.92 | 22 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $3.97 – $32.28 | 24 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | not published | not published | $6.69 – $30.87 | 22 |
| Mayo vasoactive intestinal peptide CPT 84586 | $438.00 | $730.00 | $6.61 – $80.55 | 24 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $277.20 | $462.00 | $9.26 – $46.15 | 24 |
| Mayo vitamin b3 (niacin) CPT 84591 | $225.60 | $376.00 | $5.85 – $38.90 | 22 |
| Mayo vitamin k CPT 84597 | $339.60 | $566.00 | $6.61 – $31.28 | 24 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $174.00 | $290.00 | $6.54 – $30.21 | 22 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $223.83 – $1,340.53 | 19 |
| Mcoln1 gene CPT 81290 | not published | not published | $15.72 – $89.63 | 15 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $117.25 – $1,487.08 | 38 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $129.48 – $1,487.08 | 38 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $135.21 – $801.87 | 38 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $189.84 – $1,822.02 | 32 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.